Provider Demographics
NPI:1619968211
Name:HAYES, SUZANNE WATSON (DDS)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:WATSON
Last Name:HAYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ENGLAND DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0924
Mailing Address - Country:US
Mailing Address - Phone:931-520-4466
Mailing Address - Fax:931-520-3871
Practice Address - Street 1:907 OLD MCMINNVILLE ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:TN
Practice Address - Zip Code:38585-3200
Practice Address - Country:US
Practice Address - Phone:931-946-2438
Practice Address - Fax:931-946-2643
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000072721223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health